Treatment of Social Cognition in Schizophrenia Trial
TRuSST
TRuSST: Treatment of Social Cognition in Schizophrenia Trial
2 other identifiers
interventional
149
1 country
4
Brief Summary
This study is a multi-site, prospective, parallel arm, double-blind, randomized, controlled clinical trial to assess the efficacy of an experimental software program targeting social cognitive abilities versus a computer-based software control. Both the study and the software being investigated meet the criteria of Non-Significant Risk.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable schizophrenia
Started Mar 2015
Typical duration for not_applicable schizophrenia
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 16, 2014
CompletedFirst Posted
Study publicly available on registry
September 22, 2014
CompletedStudy Start
First participant enrolled
March 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 30, 2018
CompletedSeptember 26, 2019
September 1, 2019
3.5 years
September 16, 2014
September 24, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Change in Spatial Cognition (Multiple scores are aggregated to arrive at a single composite score)
The a priori co-primary social cognitive outcome measure will be a composite score comprised of the following standardized, validated set of assessments: * Penn Emotion Recognition Test (ER40) - A test for visual emotion perception; total percent correct. * Prosody Identification (PROID) - A test for prosody identification; total percent correct. * Penn Facial Memory Test (PFMT) -Immediate recall. A test for immediate recall of faces; total percent correct. * Penn Facial Memory Test (PFMT) - Delayed recall. A test for delayed recall of faces; total percent correct. * Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) - managing emotions subscale (D); correct responses. * The Empathic Accuracy (EA) scale; average correlation.
At 6 weeks and At 12 weeks
Change in Performance on the UCSD Performance-based Skills Assessment (Co-Primary Composite Measure)
The a priori co-primary functional measure will be the functional capacity measure of The UCSD Performance-based Skills Assessment (UPSA) - total correct. Higher scores indicate better performance. We have chosen the UPSA since it is a well-validated measure frequently used in cognitive and SC training studies; In addition, it measures functional capacity, which is expected to be affected by SC change. The UPSA is designed to assess skills in five areas (Household Chores, Communication, Finance, Transportation, and Planning Recreational Activities) that reflect general abilities that are important components of independent living. Test-retest reliability ranged from .63-.80 over follow-up periods up to 36 months in patients with schizophrenia. Among patients, the UPSA performance correlated significantly with severity of negative symptoms and of cognitive impairment but not with that of positive or depressive symptoms.
At 6 weeks and At 12 weeks
Secondary Outcomes (13)
Symptoms utilizing the Positive and Negative Syndrome Scale
At 6 weeks and At 12 weeks
Psychosocial Functioning utilizing the Global Functioning Scale
At 6 weeks and At 12 weeks
Social Functioning utilizing the Social Functioning Scale
At 6 weeks and At 12 weeks
Independent Functioning utilizing the Specific Levels of Function
At 6 weeks and At 12 weeks
Functional Capacity utilizing Virtual Reality Functional Capacity Assessment
At 6 weeks and At 12 weeks
- +8 more secondary outcomes
Study Arms (2)
Experimental Treatment
EXPERIMENTALComputerized plasticity-based adaptive cognitive training requiring a total maximum of 40 treatment sessions, 3-5 times weekly, 45-60 minutes per session.
Active Comparator
ACTIVE COMPARATORCommercially available computerized training requiring a total maximum of 40 treatment sessions, 3-5 times weekly, 45-60 minutes per session.
Interventions
Computerized plasticity-based adaptive cognitive training for a total maximum of 40 treatment sessions, 3-5 times weekly, 40-60 minutes per session.
Commercially available computerized training for a total maximum of 40 treatment sessions, 3-5 times weekly, 40-60 minutes per session.
Eligibility Criteria
You may qualify if:
- Subjects must be between 18 and 65 years old, inclusive, at the time of study screening
- Subjects must have a diagnosis of schizophrenia as defined by an interview.
- Subjects must demonstrate adequate decisional capacity, in the judgment of the consenting study staff member, to make a choice about participating in this research study.
- Subjects must have been clinically stable (non-acute) for 8 weeks prior to consent; in the judgment of the Site Principal Investigator.
- Subjects must have been maintained on a stable treatment of antipsychotics and/or other concomitant psychotropic treatment for at least 6 weeks prior to consent.
- Subjects must have learned English before the age of 12 to ensure valid neuropsychological results.
- Subjects must have the visual, auditory, and motor capacity to use the computerized intervention in the judgment of the consenting study staff person.
- Subjects must have no more than a moderately severe rating on hallucinations and unusual thought content.
You may not qualify if:
- Subjects should not have had a psychiatric hospitalization in the 8 weeks prior to consent.
- Subjects who appear to be intoxicated or under the influence of a controlled substance on any day of assessment must be rescheduled or discontinued based upon the discretion of the site staff evaluator.
- Subjects should not have a history of mental retardation or pervasive developmental disorder; or other neurological disorder (e.g., Traumatic Brain Injury, epilepsy, Parkinson's Disease.)
- Subjects should not have been treated within 3 years of the date of consent with a computer-based cognitive training program manufactured by Posit Science.
- Subjects should not be participating in a concurrent clinical trial that, in the judgment of the Site Principal Investigator, could affect the outcome of this one.
- Subjects must not show suicidal ideation or behaviors.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Posit Science Corporationlead
- National Institute of Mental Health (NIMH)collaborator
- University of Minnesotacollaborator
- VA Greater Los Angeles Healthcare Systemcollaborator
- University of California, Los Angelescollaborator
- Rush Universitycollaborator
Study Sites (4)
Greater Los Angeles VA
Los Angeles, California, 90073, United States
UCLA
Los Angeles, California, 90073, United States
Rush University
Chicago, Illinois, 60612, United States
University of Minnesota
Minneapolis, Minnesota, 55454, United States
Related Publications (3)
Roberts MT, Lloyd J, Valimaki M, Ho GW, Freemantle M, Bekefi AZ. Video games for people with schizophrenia. Cochrane Database Syst Rev. 2021 Feb 4;2(2):CD012844. doi: 10.1002/14651858.CD012844.pub2.
PMID: 33539561DERIVEDNahum M, Lee H, Fisher M, Green MF, Hooker CI, Ventura J, Jordan JT, Rose A, Kim SJ, Haut KM, Merzenich MM, Vinogradov S. Online Social Cognition Training in Schizophrenia: A Double-Blind, Randomized, Controlled Multi-Site Clinical Trial. Schizophr Bull. 2021 Jan 23;47(1):108-117. doi: 10.1093/schbul/sbaa085.
PMID: 32614046DERIVEDRose A, Vinogradov S, Fisher M, Green MF, Ventura J, Hooker C, Merzenich M, Nahum M. Randomized controlled trial of computer-based treatment of social cognition in schizophrenia: the TRuSST trial protocol. BMC Psychiatry. 2015 Jul 3;15:142. doi: 10.1186/s12888-015-0510-1.
PMID: 26138715DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kyu Lee, PhD
Posit Science Corporation
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 16, 2014
First Posted
September 22, 2014
Study Start
March 1, 2015
Primary Completion
August 30, 2018
Study Completion
August 30, 2018
Last Updated
September 26, 2019
Record last verified: 2019-09